Peripheral Neuropathy Care

At New York Neurology Associates, we understand how disruptive and uncomfortable peripheral neuropathy can be. Contact us today to schedule an appointment at one of our New York offices and receive expert, personalized care designed to relieve nerve pain, improve sensation, and restore your quality of life.

Peripheral neuropathy can cause persistent pain, numbness, weakness, and autonomic symptoms that significantly interfere with daily life. At Neurology Associates, we are dedicated to helping patients manage the challenges of peripheral neuropathy, including small fiber, autonomic, and immune-mediated neuropathies.

Our mission is to help restore comfort, function, and quality of life through precise diagnosis and compassionate, individualized neurological care. Contact our board-certified neurologists at one of our convenient locations in New York today.

Understanding Peripheral Neuropathy

Peripheral neuropathy refers to dysfunction of the peripheral nerves — the communication network between the brain, spinal cord, and the rest of the body. Depending on which nerves are affected, patients may experience pain, sensory changes, weakness, or autonomic symptoms.

Neuropathy may involve large fibers (responsible for strength and coordination), small fibers (responsible for pain and temperature), or autonomic fibers (which control involuntary functions).

Common symptoms include:

  • Numbness, tingling, or burning sensations in the hands or feet
    Sharp, stabbing, or electric-like pain
  • Muscle weakness or balance problems
  • Changes in sweating, blood pressure, or digestion (autonomic symptoms)
  • Sensitivity to temperature or light touch

Causes of Peripheral Neuropathy

Peripheral neuropathy can develop from a variety of underlying conditions.

  • Diabetes and metabolic disorders: The leading cause of neuropathy, often affecting small and autonomic fibers.
  • Vitamin deficiencies and nutritional imbalances: Especially vitamin B12, B6, or folate deficiency.
  • Autoimmune and inflammatory disorders: Including CIDP (Chronic Inflammatory Demyelinating Polyneuropathy), Guillain-Barré syndrome, and lupus-related neuropathy.
  • Toxin exposure: Such as alcohol, chemotherapy, or heavy metals.
  • Infections: Including Lyme disease, HIV, and hepatitis.
  • Inherited neuropathies: Such as Charcot-Marie-Tooth disease.
  • Nerve compression or trauma: From spinal issues, entrapment syndromes, or repetitive strain.
  • Idiopathic: 25–30% of cases may not have a specific identifiable cause despite evaluation.

CIDP: A Treatable Immune-Mediated Neuropathy

CIDP is a chronic autoimmune condition where the body’s immune system attacks the protective covering (myelin sheath) of peripheral nerves, leading to weakness, numbness, and balance difficulties.

Dr. Kaplan, one of the lead neurologists at New York Neurology Associates, is a published authority on the diagnosis and management of CIDP. His research and clinical expertise have contributed to improving early detection and treatment protocols for patients with this complex disorder. Under his leadership, our practice has become a regional center for the evaluation and treatment of CIDP and other immune-mediated neuropathies.

Common treatments for CIDP may include:

  • Intravenous immunoglobulin (IVIg)
  • Corticosteroid therapy
  • Plasma exchange (plasmapheresis)
  • Immunosuppressive medications
 

Early recognition and expert management can significantly improve long-term outcomes and restore nerve function.

Advanced Diagnostic Testing

Our neurologists utilize advanced technology to assess nerve function and determine the underlying cause of symptoms. Testing may include:

  • Electromyography (EMG) and Nerve Conduction Studies (NCS): Evaluate nerve signal speed across large fiber nerves and detect demyelinating conditions like CIDP.
  • Skin biopsy: a simple test that measures small nerve fiber density to help diagnose small fiber neuropathy.
  • Autonomic Function Testing: Measures blood pressure, heart rate, and other automatic responses to identify autonomic neuropathy.
  • Comprehensive Blood and Metabolic Testing: Screens for diabetes, autoimmune markers, vitamin deficiencies, and infections.
  • Imaging Studies (MRI, Ultrasound): Detects spinal or structural causes of nerve damage.

Personalized Treatment

Every patient receives a customized treatment plan based on their specific diagnosis, health history, and goals. Our advanced neuropathy care includes:

  • Medication Management: Neuropathic pain relievers, anti-seizure medications, or topical therapies.
  • IV and Infusion Therapies: Including IVIG for CIDP and nutrient infusions for deficiency-related neuropathies.
  • Physical Therapy and Rehabilitation: To improve strength, balance, and coordination.
  • Lifestyle and Nutritional Counseling: Promoting nerve health through metabolic optimization.
  • Advanced Interventional Pain Treatments: Such as nerve blocks and spinal cord stimulation for chronic pain.
  • For autonomic neuropathy, treatment may also address blood pressure regulation, hydration support, and gastrointestinal symptom management.

Schedule a Peripheral Neuropathy Evaluation in New York

Peripheral neuropathy is often treatable, especially when accurately diagnosed and managed by experienced specialists. At New York Neurology Associates, we offer advanced diagnostic testing, expertise in complex neuropathies such as CIDP, and fully customized treatment plans tailored to your specific condition. 

Contact one of our offices in New York today to schedule an appointment and take the first step toward restoring nerve function and lasting relief.

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